Individual
WALKER FREDERICK JANICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(785) 332-4798
Mailing address
1600 23RD AVE, GREELEY, CO 80634-6070
(785) 332-4798
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0010533
CO
Other
Enumeration date
06/15/2024
Last updated
07/30/2024
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